ABSTRACT

Table I lists the "ten commandments" for the assessment of gastrointestinal bleeding. All of these can be accomplished with a careful history and physical examination and with a minimum of procedures and tests in the office, emergency room, or hospital setting. The likely diagnosis will dictate whether the patient can be managed in the primary care setting or-if further diagnostic radiographic

or endoscopic studies are required-should be referred to a pediatric gastroenterologist or surgeon.